Abdominal examination Flashcards

1
Q

Clubbing

A

Liver cirrhosis + IBD

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2
Q

Leukonychia

A

Liver cirrhosis

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3
Q

Koilonychia

A

Iron-deficiency anaemia

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4
Q

Dupuytren’s contracture

A

Alcoholic liver disease

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5
Q

Palmar erythema

A

Excess oestrogens - pregnancy, hyperthyroidism, chronic liver disease

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6
Q

Asterixis (liver flap)

A

Accumulation of ammonia

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7
Q

Jaundice

A

Liver cirrhosis

Pancreatic cancer (compresses bile duct)

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8
Q

Angular stomatitis

A

Iron, B2, B6 deficiency

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9
Q

Perioral pigmentation

A

Hereditary haemorrhagic telangiectasia (HHT)

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10
Q

Mouth ulcers

A

Crohn’s

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11
Q

Hepatic foetor

A

Liver disease

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12
Q

Glossitis

A

Iron and B vitamin deficiency

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13
Q

Gynaecomastia

A

Chronic liver disease

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14
Q

Spider naevi

A

High oestrogen - chronic liver disease

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15
Q

How many spider naevi is considered abnormal?

A

More than 5

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16
Q

Splenomegaly

A

Portal hypertension caused by chronic liver disease

17
Q

Absent bowel sounds

A

Peritonitis

18
Q

High-pitched ‘tinkling’ bowel sounds

A

Bowel obstruction

19
Q

Bruit

A

Atherosclerosis

20
Q

Oedema

A

Liver failure

21
Q

Why is an external genitalia examination performed?

A

To exclude possible testicular torsion as a cause for abdominal pain. Also, to examine for testicular atrophy, a feature of chronic liver disease